2020 ChAmpionships

2020 Referee and Judge Application

Application Form for the 2020 NSW and Nationals Championships ONLY - Please use the correct form for other events.

I am applying for the 2020 NSW Championships

I am applying for the 2020 Nationals Championships

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Events I am applying for:

Tick appropriate Boxes

Full Contact Judge

Non Contact Judge

Full Contact Referee

Non Contact Referee

Date of last seminar attended

MM

DD

YYYY

Declaration *

1. In participating in this event, I understand the risk of harm (including personal injury or death, damage to property or economic loss)

2. I release and waive all liability in respect of this event (or its agents, employees or contractors), that may otherwise have arisen as a result of my participation in the tournament.

3. I understand that this event (or its agents, employees or contacts) will not be liable for the cost of treatment of any injuries that may be sustained as a result of participating.

I accept